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INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI 1356835045
Podiatrist - Foot & Ankle Surgery in Grand Junction, CO

Active since June 18, 2018
627 25 1/2 RD, GRAND JUNCTION, CO 81505(970) 242-3535(970) 683-2745 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jun 18, 2018 (2 updates tracked since 2018).

About Intermountain Medical Group Grand Junction, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC (NPI 1356835045) is a healthcare organization registered as a foot & ankle surgery in Grand Junction, Colorado and active in the NPI registry since June 2018. The organization lists Jon Mcdaniel, Vp Finance Mgps, as its authorized official.

NPPES Registry Identity

NPI1356835045
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address627 25 1/2 RDGrand Junction, CO 81505-6401
Mailing Address500 Eldorado Blvd Ste 6250Broomfield, CO 80021-3421
Phone(970) 242-3535
Fax(970) 683-2745
Organization SubpartYesParent: Sisters Of Charity Leavenworth Health System Inc
Authorized OfficialJon McdanielVp Finance Mgps · (303) 272-0231
Enumeration DateJune 18, 2018
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1356835045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
627 25 1/2 RD, Grand Junction, CO 81505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN ORTHOPAEDIC ASSOCIATES
Durable Medical Equipment & Medical Supplies
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
JAMIE WALL NP
Nurse Practitioner (Acute Care)
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
MRS. KATHLEEN A RICHMOND ORT-CERTIFIED
Technician
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
TALLEY HALVORSON
Occupational Therapist (Hand)
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
MADELEINE LEE FOUTZ
Physical Therapist
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
BETH MARIE KEDDY
Physical Therapist
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
THEA A WOJTKOWSKI KHAN-FAROOQI MD
Orthopaedic Surgery
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535
MS. KRISTINE S STEELE PA-C
Physician Assistant (Surgical)
627 25 1/2 RD
GRAND JUNCTION, CO 81505
Mesa County (970) 242-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Medical Group Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1356835045. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 627 25 1/2 Rd, Grand Junction, CO 81505. The listed phone number is (970) 242-3535.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Grand Junction, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.